1,300 results match your criteria Lithotripsy Extracorporeal Shockwave


Is physical therapy effective following extracorporeal shockwave lithotripsy and retrograde intrarenal surgery: a meta-analysis and systematic review.

BMC Urol 2020 Jul 9;20(1):93. Epub 2020 Jul 9.

Urology, the First Affiliated Hospital of Guangzhou Medical University, Kangda Road 1, Haizhu District, Guangzhou, 510230, China.

Background: Physical therapy, including percussion, inversion, vibration and combinations, was clinically performed to improve the stone free rate (SFR) following lithotripsy procedures. However, physical therapy is not widely accepted in clinical practice owing to lack of high level evidence support and a standard protocol. The present meta-analysis aimed to evaluate the efficacy and safety of physical therapy in improving SFR following extracorporeal shockwave lithotripsy (ESWL) and retrograde intrarenal surgery (RIRS). Read More

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http://dx.doi.org/10.1186/s12894-020-00664-9DOI Listing

Optimal management of large proximal ureteral stones (>10mm): a systematic review and meta-analysis of 12 randomized controlled trials.

Int J Surg 2020 Jul 1. Epub 2020 Jul 1.

Department of Urology, Beijing Hospital, Beijing, 100730, China; National Center of Gerontology, Beijing, 100730, China; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, 100730, China; Graduate School of Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, 100730, China. Electronic address:

Objectives: To develop an evidence base to guide clinicians treating adults with large proximal ureteral stones (LPUS) greater than 10mm.

Methods: A systematic search of PubMed, EMBASE, and Cochrane Library was conducted to identify randomized controlled trials (RCT) concerning different LPUS management techniques including laparoscopic ureterolithotomy (LU), percutaneous nephrolithotomy (PCNL) and ureteroscopic lithotripsy (URL) up until March 2020. We followed the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement when searching and determining inclusion. Read More

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http://dx.doi.org/10.1016/j.ijsu.2020.06.025DOI Listing

Prediction of stone-free rates following extracorporeal shockwave lithotripsy in a contemporary cohort of patients with stone densities exceeding 1000 HU.

Scand J Urol 2020 Jun 29:1-5. Epub 2020 Jun 29.

Department of Urology, State University of Campinas, Unicamp, Campinas, Brazil.

Nephrolithiasis is a common urologic problem, and its incidence is increasing. Shockwave Lithotripsy (SWL) has better results for patients with stones < 1000 HU. We attempted to identify SWL stone-free (SF) predictors for > 1000 HU stones. Read More

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http://dx.doi.org/10.1080/21681805.2020.1782981DOI Listing

Management of a kidney stone in ectopic pelvic kidney with Extracorporeal Shockwave Litothripsy: Description of a case and revision of literature.

Arch Ital Urol Androl 2020 Jun 23;92(2). Epub 2020 Jun 23.

Department of Urology, S. Elia Emergency Hospital, Caltanissetta.

Urolithiasis is one of the most frequent disease in the population and it represents one of the most frequent causes of access to emergency department. In addition. congenital anomalies occur more often in the kidney than in any other organ and the association of both renal abnormalities and stones is of clinical relevance. Read More

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http://dx.doi.org/10.4081/aiua.2020.2.109DOI Listing

Treatment of recurrent renal transplant lithiasis: analysis of our experience and review of the relevant literature.

BMC Nephrol 2020 Jun 23;21(1):238. Epub 2020 Jun 23.

Department of Hepatobiliary Surgery, First Affiliated Hospital, China Medical University, No.155, Nanjing North Street, Heping District, Shenyang, 110001, Liaoning Province, People's Republic of China.

Background: Renal transplant lithiasis is a rather unusual disease, and the recurrence of lithiasis presents a challenging situation.

Methods: We retrospectively analyzed the medical history of one patient who suffered renal transplant lithiasis twice, reviewed the relevant literature, and summarized the characteristics of this disease.

Results: We retrieved 29 relevant studies with an incidence of 0. Read More

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http://dx.doi.org/10.1186/s12882-020-01896-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310338PMC

The efficacy and safety of diuretics on extracorporeal shockwave lithotripsy treatment of urolithiasis: A systematic review and meta analysis.

Medicine (Baltimore) 2020 Jun;99(25):e20602

Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai.

Background: The aim of this systematic review and meta-analysis was to demonstrate the efficacy and safety of diuretics on extracorporeal shockwave lithotripsy (SWL) treatment of urolithiasis.

Methods: The databases MEDLINE, EMBASE, and the Cochrane Controlled Trial Register of Controlled Trials from January 1980 until November 2019 were searched to identify randomized controlled trials that referred to the use of diuretics on extracorporeal SWL treatment of urolithiasis.

Results: Six randomized controlled trials containing 1344 patients were included in this meta-analysis, which compared diuretics with placebo on extracorporeal SWL treatment of urolithiasis. Read More

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http://dx.doi.org/10.1097/MD.0000000000020602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310958PMC

Trends of upper urinary tract stone management in a high volume stone center in Saudi Arabia, 12 years analysis.

Urol Ann 2020 Apr-Jun;12(2):128-131. Epub 2020 Apr 14.

Division of Urology, King Abdullah International Medical Research Center, College of Medicine, King Abdulaziz Medical City, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Introduction: Urolithiasis is a common urological problem globally with tremendous health and economic burden. In Saudi Arabia, an estimation has shown that the risk of developing a stone episode is 50% higher than that in Western countries. About 20% of males would experience at least one episode by 70 years of age. Read More

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http://dx.doi.org/10.4103/UA.UA_49_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292426PMC

Abdominal aortic rupture after extracorporeal shockwave lithotripsy: A rare case report and literature review.

J Int Med Res 2020 Jun;48(6):300060520931608

Department of Vascular Surgery, The Third Affiliated Hospital of Soochow University, Changzhou, China.

Extracorporeal shockwave lithotripsy (ESWL) is a common and effective treatment method for most renal and upper ureteral calculi. Aortic rupture after ESWL is an extremely rare complication. Seven cases of aortic rupture have been reported to date, and only one case involved the rupture of a calcified abdominal aorta. Read More

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http://dx.doi.org/10.1177/0300060520931608DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297492PMC

Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine.

J Clin Orthop Trauma 2020 May 12;11(Suppl 3):S309-S318. Epub 2020 Feb 12.

IOC - Instituto do Osso e da Cartilagem / The Bone and Cartilage Institute, Avenida Presidente Kennedy, 1386 - 2nd Floor, Room #29 - Cidade Nova I, Indaiatuba, SP, Brazil.

Extracorporeal shockwave therapy (ESWT) is a popular non-invasive therapeutic modality in the medical field for the treatment of numerous musculoskeletal disorders. This technique first emerged around the 1980s as extracorporeal shockwave lithotripsy and has been studied since then for its application towards orthopedics and traumatology. ESWT works by the emission of acoustic waves (shockwaves) that carry energy and can propagate through tissues. Read More

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http://dx.doi.org/10.1016/j.jcot.2020.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275282PMC

The clinical and cost effectiveness of surgical interventions for stones in the lower pole of the kidney: the percutaneous nephrolithotomy, flexible ureterorenoscopy and extracorporeal shockwave lithotripsy for lower pole kidney stones randomised controlled trial (PUrE RCT) protocol.

Trials 2020 Jun 4;21(1):479. Epub 2020 Jun 4.

Addenbrooke's NHS Trust, Hills Road, Cambridge, UK.

Introduction: Renal stones are common, with a lifetime prevalence of 10% in adults. Global incidence is increasing due to increases in obesity and diabetes, with these patient populations being more likely to suffer renal stone disease. Flank pain from stones (renal colic) is the most common cause of emergency admission to UK urology departments. Read More

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http://dx.doi.org/10.1186/s13063-020-04326-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7273687PMC

A Particular Form of "Urolithiasis" in a Toddler.

Pediatrics 2020 Jun;145(6)

Department of Woman, Child and General and Specialist Surgery, Università degli Studi della Campania Luigi Vanvitelli, Naples, Italy.

Milk of calcium is a viscous colloidal suspension of calcium salts that forms in dilated cysts or cavities. We present, for the first time in literature, a toddler with isolated milk of calcium and treated with a conservative approach. A boy with a history of one urinary tract infection and recurrent fever without vesicoureteral reflux showed at the age of 14 months a left obstructive staghorn stone. Read More

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http://dx.doi.org/10.1542/peds.2019-3190DOI Listing

Use of Nitrous Oxide in Office-based Urologic Procedures: A Review.

Urology 2020 May 20. Epub 2020 May 20.

Department of Urology, Mayo Clinic, Rochester, MN.

Nitrous oxide (NO) is underutilized in ambulatory urology. Here, we review available data regarding application, efficacy, and side effect profile of NO in ambulatory urologic procedures. Data were available from 11 studies. Read More

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http://dx.doi.org/10.1016/j.urology.2020.05.020DOI Listing

Incidence and Significance of Biliary Stricture in Chronic Pancreatitis Patients Undergoing Extracorporeal Shock Wave Lithotripsy for Obstructing Pancreatic Duct Stones.

Gut Liver 2020 May 13. Epub 2020 May 13.

Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA.

Background/aims: This study assessed the significance of biliary stricture in symptomatic chronic pancreatitis patients requiring extracorporeal shock wave lithotripsy (ESWL) and endoscopic retrograde cholangiopancreatography (ERCP) to remove obstructing pancreatic calculi.

Methods: A total of 97 patients underwent ESWL followed by ERCP to remove pancreatic calculi between October 2014 and October 2017 at Virginia Mason Medical Center. Significant biliary stricture (SBS) was defined as a stricture with upstream dilation on computed tomography scan or magnetic resonance cholangiopancreatography scans accompanied by cholestasis and/or cholangitis. Read More

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http://dx.doi.org/10.5009/gnl19380DOI Listing

The effectiveness and safety of extracorporeal shock wave lithotripsy for the management of kidney stones: A protocol of systematic review and meta-analysis.

Medicine (Baltimore) 2020 May;99(19):e19915

Department of Urology, Yangling Demonstration District Hospital, Xianyang, China.

Background: This study will assess the effectiveness and safety of extracorporeal shock wave lithotripsy (ESWL) for patients with kidney stones (KS).

Methods: A comprehensive and systematic literature records search for studies will be conducted in MEDLINE, EMBASE, Cochrane Library, WANGFANG, VIP, Chinese Biomedical Literature Database, and China National Knowledge Infrastructure. All these databases will be searched from inception to the present without language limitation. Read More

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http://dx.doi.org/10.1097/MD.0000000000019915DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220461PMC

Bouveret's Syndrome: A Case-Based Review, Clinical Presentation, Diagnostics and Treatment Approaches.

Sisli Etfal Hastan Tip Bul 2020 25;54(1):1-7. Epub 2020 Mar 25.

Department of General Surgery, Okan University, Faculty of Medicine, Istanbul, Turkey.

Gastric outlet obstruction that arises from gallstones impacted in the distal stomach or proximal duodenum after passing through a cholecystoduodenal, cholecystogastric or rarely choledocoduodenal fistula is called as Bouveret's syndrome and it accounts for approximately 1-3% of all the patients with gallstone ileus. Although treatment modalities, including stone removal or fragmentation with classical endoscopic devices, such as snares, and forceps or fragmentation of gallstones with new devices, such as electrohydraulic lithotripsy, laser, extracorporeal shockwave lithotripsy have been described. However, only 29% of the patients benefit from nonsurgical methods. Read More

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http://dx.doi.org/10.14744/SEMB.2018.03779DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192252PMC

Phyllanthus niruri (stone breaker) herbal therapy for kidney stones; a systematic review and meta-analysis of clinical efficacy, and Google Trends analysis of public interest.

Can J Urol 2020 Apr;27(2):10162-10166

Rutgers-Robert Wood Johnson Medical School, Piscataway, New Jersey, USA.

Introduction: Phyllanthus niruri (P. niruri) is the most commonly listed active ingredient in commercially available herbal therapies for kidney stones, despite limited supporting clinical evidence. We performed a meta-analysis to evaluate its efficacy in reducing stone burden. Read More

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Role of pretreatment Doppler ultrasound in the prediction of factors affecting stone-clearance post-shockwave lithotripsy for ureteral stones: a prospective study.

Int Urol Nephrol 2020 Apr 15. Epub 2020 Apr 15.

Urology Department, Clinical Fellow in Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

Purpose: To identify the role of Doppler US (DUS) in the prediction of factors affecting stone-clearance post-SWL for ureteral stones in addition to its role in prediction of pretreatment stone impaction.

Methods: We prospectively included patients with ureteric stone for SWL between October 2018 and September 2019. Patient's demographics were collected. Read More

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http://dx.doi.org/10.1007/s11255-020-02465-3DOI Listing

Negative impact of being underweight on the outcomes of single-session shockwave lithotripsy in patients with upper urinary tract calculi: a retrospective cohort study.

World J Urol 2020 Apr 13. Epub 2020 Apr 13.

Center for Innovative Research for Communities and Clinical Excellence (CiRC2LE), Fukushima Medical University, Fukushima, Japan.

Purpose: To evaluate the association between being underweight and shockwave lithotripsy outcomes.

Methods: This retrospective two-centre cohort study conducted in Japan involved 597 patients diagnosed with a single urinary tract calculus based on computed tomography and who underwent shockwave lithotripsy between 2006 and 2016. We divided the patients into four groups based on their body mass index (underweight, ≤  18. Read More

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http://dx.doi.org/10.1007/s00345-020-03199-8DOI Listing

Factors affecting success in the treatment of proximal ureteral stones larger than 1 cm with extracorporeal shockwave lithotripsy in adult patients.

Urolithiasis 2020 Apr 11. Epub 2020 Apr 11.

Department of Urology, Istanbul Aydin University Medical Faculty, Istanbul, Turkey.

The aim of the study was to analyze the factors predicting success for the treatment of proximal ureteral stones larger than 1 cm with extracorporeal shockwave lithotripsy (SWL) in adult patients. Between January 2014 and December 2018, 480 adult patients in total underwent SWL and data were retrospectively evaluated. Patients with multiple ureteral stones, solitary kidney, congenital abnormality, skeletal system abnormality, history of previous urinary system surgery and SWL, renal insufficiency, patients who could not tolerate SWL and pediatric patients were excluded from the study. Read More

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http://dx.doi.org/10.1007/s00240-020-01186-7DOI Listing

The Role of Endoscopic and Surgical Treatment in Chronic Pancreatitis.

Scand J Surg 2020 Mar;109(1):69-78

Gastroenterological Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Chronic pancreatitis is a long-term illness leading to hospital admissions and readmission. This disease is often caused by heavy alcohol consumption and smoking. Patients with chronic pancreatitis suffer from acute or chronic pain episodes, recurrent pancreatitis, and complications, such as pseudocysts, biliary duct strictures, and pancreatic duct fistulas. Read More

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http://dx.doi.org/10.1177/1457496920910009DOI Listing

Effects of diuretic administration on outcomes of extracorporeal shockwave lithotripsy: A systematic review and meta-analysis.

PLoS One 2020 5;15(3):e0230059. Epub 2020 Mar 5.

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.

The present systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted for investigating the effect of diuretics on the outcomes of shockwave lithotripsy (SWL) for the treatment of urinary stones. We performed searches of PubMed, Web of science, Embase, EBSCO, and Cochrane library databases from inception to November 2019. RCTs were selected for assessing the effects of diuretics on fragmentation and clearance of urinary stones. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230059PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058295PMC
June 2020
3.234 Impact Factor

Role of Synthetic Mesh Renorrhaphy and Neocapsule Reconstruction to Salvage Posttransplant Severely Damaged Renal Allografts.

Exp Clin Transplant 2020 Mar 4. Epub 2020 Mar 4.

From the Department of Urology, The University of Toledo, Toledo, Ohio, USA.

Objectives: As the recipient pool continues to rise, it is vital to conserve donor organs whenever possible. Injured renal allografts continue to be discarded for a variety of reasons, and salvaging potentially useable grafts is of utmost importance. Little information is available on outcomes of salvaged allografts. Read More

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http://dx.doi.org/10.6002/ect.2019.0308DOI Listing

Development and validation of a prediction model for failed shockwave lithotripsy of upper urinary tract calculi using computed tomography information: the SHoCKwave score.

World J Urol 2020 Feb 22. Epub 2020 Feb 22.

Department of Healthcare Epidemiology, Graduate School of Medicine, Kyoto University School of Public Health, Yoshida-Konoe-machi, Sakyo-ku, Kyoto-shi, Kyoto, 606-8501, Japan.

Purpose: To develop and validate a new clinical prediction model that accurately predicts the failure of shockwave lithotripsy (SWL) using information obtained from non-contrast-enhanced computed tomography (NCCT).

Methods: This multicentre retrospective cohort study consecutively enrolled patients diagnosed with upper urinary tract calculi by NCCT at five hospitals in Japan from January 1, 2006 to December 31, 2016. Among the candidate predictors, we selected the six most significant predictors a priori. Read More

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http://dx.doi.org/10.1007/s00345-020-03125-yDOI Listing
February 2020
2.666 Impact Factor

Correction Notice to A large series of extracorporeal shockwave lithotripsy in the very elderly.

Authors:

Ther Adv Urol 2020 Jan-Dec;12:1756287220906729. Epub 2020 Feb 6.

[This corrects the article DOI: 10.1177/1756287219870412.]. Read More

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http://dx.doi.org/10.1177/1756287220906729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7005971PMC
February 2020

Shockwave lithotripsy for kidney stones as a first-line therapy in children younger than 2 years.

J Pediatr Urol 2020 Apr 10;16(2):193.e1-193.e6. Epub 2020 Jan 10.

Department of Urology, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

Background: The incidence of urolithiasis in children has risen worldwide over the last decades with geographical varieties. As pediatric patients begin forming stones earlier in life, they have high risk of recurrence. Extracorporeal shockwave lithotripsy (SWL) is a non-invasive treatment modality that is preferred in the management of pediatric stones. Read More

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http://dx.doi.org/10.1016/j.jpurol.2020.01.001DOI Listing

Shockwave Lithotripsy Is an Efficacious Treatment Modality for Obese Patients with Upper Ureteral Calculi: Logistic Regression and Matched-Pair Analyses from a Dedicated Center Comparing Treatment Outcomes by Skin-to-Stone Distance.

J Endourol 2020 Apr 27;34(4):487-494. Epub 2020 Mar 27.

Department of Urology, The Scottish Lithotriptor Centre, Western General Hospital, Edinburgh, United Kingdom.

To assess the association of skin-to-stone distance (SSD) and stone-free rates following extracorporeal shockwave lithotripsy (SWL) using two statistical methods: logistic regression and a matched-pair analysis approach. Patients with a solitary radio-opaque upper ureteral calculus diagnosed on noncontrast computed tomography were included. Patients were treated with a Sonolith I-Sys Lithotripter (focal depth 17 cm). Read More

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http://dx.doi.org/10.1089/end.2019.0717DOI Listing
April 2020
2.095 Impact Factor

Analgesic efficacy of ultrasound-guided quadratus lumborum block during extracorporeal shock wave lithotripsy.

Agri 2020 Jan;32(1):44-47

Department of Urology, Ataturk University Faculty of Medicine, Erzurum, Turkey.

Extracorporeal shockwave lithotripsy (ESWL) is widely used for the treatment of urinary tract calculi; however, the vast majority of the patients does not tolerate the procedure without analgesia and sedation. Pain control in ESWL has been crucial for process success and patient comfort. Systemic drugs, such as non-steroid anti-inflammatory drugs, opioids, alfa-2 agonist and various local and regional anesthesia methods (transversus abdominis plane block, paravertebral block, infiltration) have been applied to control ESWL pain. Read More

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http://dx.doi.org/10.5505/agri.2017.54036DOI Listing
January 2020

The Predictive Role of Abdominal Fat Parameters and Stone Density on SWL Outcomes.

Curr Med Imaging Rev 2020 ;16(1):80-87

Department of Urology, Medical School, Karabuk University, Karabuk, Turkey.

Background: Our aim was to detect the role of radiological abdominal fat parameters by tomography and stone density by plain X-ray on extracorporeal Shock Wave Lithotripsy (SWL) stone-free rate.

Methods: The patients who had undergone SWL for a single opaque renal stone < 2 cm in diameter and proximal ureteric stone < 1 cm in diameter were collected retrospectively. The characteristics of patients and stones were recorded. Read More

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http://dx.doi.org/10.2174/1573405614666180927112127DOI Listing
January 2020

Endoscopic-assisted robotic pyelolithotomy: a viable treatment option for complex pediatric nephrolithiasis.

J Pediatr Urol 2020 Apr 19;16(2):192.e1-192.e5. Epub 2019 Dec 19.

Riley Hospital for Children at Indiana University Health, 705 Riley Hospital Drive, Suite 4230, Indianapolis, IN, 46202, USA.

Introduction And Objective: Endourological and percutaneous approaches are the standard of care for treatment of pediatric urolithiasis. However, in certain situations, an endoscopic-assisted robotic pyelolithotomy (EARP) can be an acceptable alternative. Limited data exist on pediatric EARP; thus, the authors describe their experience. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.12.007DOI Listing

Robot-assisted laparoendoscopic single-site surgery for the simultaneous management of multiple urinary tract calculi: a case report and experience sharing.

BMC Urol 2019 Dec 30;19(1):139. Epub 2019 Dec 30.

Department of Urology, Hainan Hospital of Chinese PLA General Hospital, Sanya, China.

Background: Urolithiasis is a clinically common benign disease in urology. Surgical treatments that are widely used in urolithiasis are percutaneous nephrolithotomy, rigid/flexible ureteroscopy, laparoscopic surgery, and endoscopic combined intrarenal surgery. The da Vinci surgical system is rarely used in the treatment of urolithiasis. Read More

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http://dx.doi.org/10.1186/s12894-019-0572-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937836PMC
December 2019
1.937 Impact Factor

Predicting the Postoperative Outcome of Percutaneous Nephrolithotomy with Machine Learning System: Software Validation and Comparative Analysis with Guy's Stone Score and the CROES Nomogram.

J Endourol 2020 Jun 3;34(6):692-699. Epub 2020 Feb 3.

Department of Medical Physics and Engineering, Shiraz University of Medical Sciences, Shiraz, Iran.

To validate the output of a machine learning-based software as an intelligible interface for predicting multiple outcomes after percutaneous nephrolithotomy (PCNL). We compared the performance of this system with Guy's stone score (GSS) and the Clinical Research Office of Endourological Society (CROES) nomogram. Data from 146 adult patients (87 males, 59%) who underwent PCNL at our institute were used. Read More

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http://dx.doi.org/10.1089/end.2019.0475DOI Listing

[Dual-energy computed tomography in the diagnostics of urolithiasis].

Urologiia 2019 Dec(5):31-36

Institute for Urology and Human Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

The Aim: To assess the diagnostic performance of dual-energy computed tomography (DECT) in the evaluation of the composition of urinary stones "in vivo".

Materials And Methods: A total of 91 patients aged from 20 to 70 years old (mean 42.7) with urinary stone disease were examined at Sechenov University, including 68 men (75%) and 23 women (25%). Read More

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December 2019

Bouveret Syndrome: When a Stone Cannot Pass the Pylorus.

ACG Case Rep J 2019 Aug 23;6(8):e00176. Epub 2019 Aug 23.

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Long Island Jewish Forest Hills Hospital, Forest Hills, NY.

Bouveret syndrome, a rare cause of intestinal obstruction, occurs by passage of a gallstone through a cholecystoduodenal fistula into the intestinal lumen. Presenting symptoms are nausea, vomiting, and abdominal pain. In some cases, chronic symptoms result in weight loss. Read More

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http://dx.doi.org/10.14309/crj.0000000000000176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6791613PMC

Efficacy of extracorporeal shockwave lithotripsy with furosemide and hydration in renal stone management: A randomised controlled trial.

Arab J Urol 2019 24;17(4):279-284. Epub 2019 Jul 24.

Department of Urology, Chandka Medical College and Hospital, Shaheed Mohtarma Benazir Bhutto Medical University (SMBBMU), Larkana, Pakistan.

: To assess the effect of diuretics (furosemide) administered before extracorporeal shockwave lithotripsy (ESWL) followed by continuous infusion of 0.9% NaCl during the ESWL in patients with renal stones. : A tertiary care teaching hospital-based prospective randomised controlled trial was conducted from July 2015 to June 2017, including 714 patients who underwent ESWL. Read More

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http://dx.doi.org/10.1080/2090598X.2019.1645262DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830186PMC

[Giant stone complicating calyceal diverticulum].

Pan Afr Med J 2019 12;33:192. Epub 2019 Jul 12.

Service d'Urologie, Hôpital Hassan II, Université Ibn Zohr, Agadir, Maroc.

Calyceal diverticulum is acystic cavity in the renal parenchyma, communicating with the collecting system via an infundibulum. In more than 40% of cases it is associated with a stone and in most cases appears as milk of calcium forming a fluid level or multiple small stones. We here report the case of an 82-year old patient with no previous history, presenting with mild and intermittent right flank pain lasting for 8 years. Read More

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http://dx.doi.org/10.11604/pamj.2019.33.192.18077DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6814326PMC
November 2019

Postoperative Emergency Department Visits After Urinary Stone Surgery: Variation Based on Surgical Modality.

J Endourol 2020 Jan 18;34(1):93-98. Epub 2019 Dec 18.

Glickman Urologic and Kidney Institute, Cleveland Clinic, Cleveland, Ohio.

Urinary stone disease is responsible for more than 1 million emergency department (ED) visits annually. There is increasing regulatory and cost pressure to reduce unplanned episodes of care, particularly after elective surgery. However, the frequency of ED visits in the early postoperative period after different modalities of stone surgery is not well characterized. Read More

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http://dx.doi.org/10.1089/end.2019.0399DOI Listing
January 2020

Cost analysis of ureteroscopy (URS) vs extracorporeal shockwave lithotripsy (ESWL) in the management of ureteric stones <10 mm in adults: a UK perspective.

BJU Int 2020 Mar 2;125(3):457-466. Epub 2019 Dec 2.

University of Nottingham, Nottingham, UK.

Objectives: To compare the total cost of a treatment strategy starting with ureteroscopy (URS) vs a strategy starting with extracorporeal shockwave lithotripsy (ESWL).

Methods: For ureteric stones of <10 mm, URS or ESWL are the main treatment options that are considered. Although the interventions differ, the goal of the interventions is to achieve a stone-free status. Read More

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http://dx.doi.org/10.1111/bju.14938DOI Listing

Technique, complications, and outcomes of pediatric urolithiasis management at a tertiary care hospital: evolving paradigms over the last 15 years.

J Pediatr Urol 2019 Dec 17;15(6):665.e1-665.e7. Epub 2019 Sep 17.

Division of Pediatric Urology, Department of Urology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, U.P., 226014, India. Electronic address:

Background: Despite technological advancements, there is lack of consensus for the standard treatment modalities for pediatric urolithiasis.

Objective: The primary objective was to review the management of pediatric urolithiasis over the last 15 years in terms of technical modifications, surgical outcomes, and complications. The secondary objective was to compare the efficacy and outcomes of standard percutaneous nephrolithotomy (PCNL) and mini-PCNL for renal and upper ureteric calculi. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.09.011DOI Listing
December 2019

Which is the best treatment of pediatric upper urinary tract stones among extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy and retrograde intrarenal surgery: a systematic review.

BMC Urol 2019 Oct 23;19(1):98. Epub 2019 Oct 23.

Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, No. 37 Guo Xue Xiang, Chengdu, Sichuan, 610041, People's Republic of China.

Background: Although the indications of minimally invasive treatments for pediatric urolithiasis are similar to those in adults, it is still crucial to make the right treatment decision due to the special considerations of children. This review aims to evaluate the efficacy and safety of extracorporeal shockwave lithotripsy (SWL), percutaneous nephrolithotomy (PCNL), and retrograde intrarenal surgery (RIRS) in the management of pediatric upper urinary tract stones.

Methods: EMBASE, PubMed, and the Cochrane Library were searched from their first available date to March 2018. Read More

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http://dx.doi.org/10.1186/s12894-019-0520-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6806579PMC
October 2019

Predicting shockwave lithotripsy outcome for urolithiasis using clinical and stone computed tomography texture analysis variables.

Sci Rep 2019 10 11;9(1):14674. Epub 2019 Oct 11.

Oxford Stone Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.

We aimed to develop and evaluate a statistical model, which included known pre-treatment factors and new computed tomography texture analysis (CTTA) variables, for its ability to predict the likelihood of a successful outcome after extracorporeal shockwave lithotripsy (SWL) treatment for renal and ureteric stones. Up to half of patients undergoing SWL may fail treatment. Better prediction of which cases will likely succeed SWL will help patients to make an informed decision on the most effective treatment modality for their stone. Read More

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http://dx.doi.org/10.1038/s41598-019-51026-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6788981PMC
October 2019
1 Read

A tricky pancreatic stone face to an expanding endoscopic armamentarium: we can lose a battle but not the war.

Rev Esp Enferm Dig 2019 Nov;111(11):880

Gastroenterology, Cliniques Universitaires Saint-Luc, Belgium.

A 43-year-old female with hereditary chronic pancreatitis presented with increasing pancreatic pain and multiple pancreatic stones, despite extracorporeal shockwave lithotripsy and pancreatic stenting 12 months previously. Direct lithotripsy was performed via endoscopic retrograde cholangio-pancreatography and the stones were further evaluated. Read More

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http://dx.doi.org/10.17235/reed.2019.6264/2019DOI Listing
November 2019
3 Reads

Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy.

Ultrasound J 2019 Sep 30;11(1):25. Epub 2019 Sep 30.

Universitat de Lleida, Plaça de Víctor Siurana, 1, 25003, Lleida, Spain.

Background: Extracorporeal shock wave lithotripsy is widely used to treat symptomatic nephrolithiasis. Complications of this procedure can occur and point-of-care ultrasound can help to diagnose and manage some of these cases.

Case Presentation: A 61-year-old man was admitted to the hospital with intense right lumbar pain 24 h after being submitted to a extracorporeal shock wave lithotripsy. Read More

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http://dx.doi.org/10.1186/s13089-019-0141-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6783486PMC
September 2019
1 Read

Impact of modern media on analgesic requirements during extracorporeal shockwave lithotripsy.

ANZ J Surg 2020 01 30;90(1-2):53-56. Epub 2019 Sep 30.

Department of Urology, Casey Hospital, Monash Health, Melbourne, Victoria, Australia.

Background: In Australia, shockwave lithotripsy (SWL) to treat urinary tract stones is routinely performed with general anaesthesia (GA). We have established a SWL service avoiding GA based outside operating theatres and wish to assess the effectiveness of utilizing modern media on patient satisfaction and analgesic requirements during treatment.

Methods: A randomized three-arm trial was performed. Read More

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http://dx.doi.org/10.1111/ans.15446DOI Listing
January 2020
3 Reads

Is There Any Improvement In Efficacy Of Xtracorporeal Shockwave Lithotripsy Therapy For Treating Renal Stones With Invent Of New Shockwave Machines?

J Ayub Med Coll Abbottabad 2019 Jul-Sep;31(3):351-354

Alkhor Hospital, Hamad Medical Corporation, Doha, Qatar.

Background: Renal stone disease is a very common medical problem in general population. As with invent of newer therapeutic modalities, ESWL is already losing its popularity. But we believe it as an effective way of treating renal stones. Read More

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January 2020
3 Reads

[Update of the 2Sk guidelines on the diagnostics, treatment and metaphylaxis of urolithiasis (AWMF register number 043-025) : What is new?]

Urologe A 2019 Nov;58(11):1304-1312

Klinik für Urologie, Klinikum Kassel, Kassel, Deutschland.

The increase of medical knowledge and technical innovations together with the demographic change represent a challenge for the new conception of guidelines and clinical studies. The present S2k guidelines, which are exclusively concerned with kidney and ureteral stones, should support the treatment of urolithiasis in hospitals and private practices and provide information on urolithiasis for patients. Increasing interdisciplinary collaboration in stone treatment is also demonstrated in the number of professional and working groups participating in the update of the new guidelines. Read More

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http://dx.doi.org/10.1007/s00120-019-01033-7DOI Listing
November 2019
6 Reads

Less painful ESWL with ultrasound-guided quadratus lumborum block: a prospective randomized controlled study.

Scand J Urol 2019 Dec 9;53(6):411-416. Epub 2019 Sep 9.

Department of Urology, Ataturk University School of Medicine, Erzurum, Turkey.

Extracorporeal shock wave lithotripsy (ESWL) has been widely used for the treatment of urinary tract stones and is usually administered as an outpatient procedure, although the vast majority of patients do not tolerate it without sedoanalgesia. The quadratus lumborum block (QLB) is a newly-defined technique for abdominal surgery. The aim of this study was to evaluate the analgesic efficacy of ultrasound-guided QLB in ESWL. Read More

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http://dx.doi.org/10.1080/21681805.2019.1658636DOI Listing
December 2019
8 Reads

A large series of extracorporeal shockwave lithotripsy in the very elderly.

Ther Adv Urol 2019 Jan-Dec;11:1756287219870412. Epub 2019 Aug 20.

Discipline of Urology, Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Background: The incidence of urinary lithiasis has been increasing in recent decades at all ages, including the elderly. In parallel, the world population is aging and there is a paucity of data on treatment of urinary stones in very elderly people. Our main objective was to evaluate the effects of extracorporeal shockwave lithotripsy (ESWL) in patients older than 75 years, and the characteristics of this population. Read More

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http://dx.doi.org/10.1177/1756287219870412DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6704411PMC
August 2019
3 Reads

[Remote monitoring of urinalysis parametres during treatment of patients with uric acid stones by citrate-containing compounds].

Urologiia 2019 Jul(3):60-65

N.A. Lopatkin Scientific Research Institute of Urology and Interventional Radiology Branch of the National Medical Research Centre of Radiology of the Ministry of Health of Russian Federation.

Introduction: Oral dissolution therapy has been successfully used in urologic practice since 1950s. However, many doctors attempt to improve efficiency of this approach. Use of different medical personalized digital devices which are increasingly used in clinical practice, represent one of the solutions of this problem. Read More

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July 2019
2 Reads

[Clinical value of herbal terpenes after extracorporeal shock-wave therapy].

Urologiia 2019 Jul(3):43-49

Institute of Urology and Reproductive Health of FGAOU VO I.M. Sechenov First Moscow State Medical University of Minzdrav of Russia, Moscow, Russia.

Background: Rowatinex is a combined drug based on plant terpenes which provides diuretic, anti-inflammatory and antispasmodic effect. A use of herbal preparation Rowatinex in patients with urinary stone disease after extracorporeal shock-wave therapy (ESWL) is analyzed in the article.

Aim: To clarify the efficiency of the drug Rowatinex in patients with urinary stone disease after ESWL. Read More

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July 2019
8 Reads